| Regimental number | 1922 |
| Place of birth | Mount Morgan Queensland |
| Religion | Methodist |
| Occupation | Motor mechanic |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, John Kelly, Peel Street, South Brisbane, Queensland |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 3rd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Mcgillivray on 1 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
